What is Shane Kelley's NPI number?

Shane Kelley's National Provider Identifier (NPI) is 1073244851, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Kelley's specialty?

Shane Kelley is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Shane Kelley located?

Shane Kelley's practice location on file with NPPES is 1716 N Mountain View Pl, Fullerton, CA 92831-1228.

What is Shane Kelley's phone number?

The practice phone number listed in the NPPES registry for Shane Kelley is (949) 280-1387.

Is Shane Kelley's NPI active?

Yes — Shane Kelley's NPI (1073244851) is active in the NPPES registry as of the last update on 2022-06-22.

IndividualActive

Shane Kelley, PA

NPI 1073244851 · Physician Assistant · Fullerton, CA

Shane Kelley, PA is a Physician Assistant provider in Fullerton, CA (NPI 1073244851).

Provider details

NPI number: 1073244851
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1716 N Mountain View Pl

Fullerton, CA 92831-1228

Phone: (949) 280-1387

Street-level locationGet directions

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Mailing address